Organization
WHOLE WOMANS HEALTH OF PEORIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JEANNE FRANK (DIRECTOR OF OPERATIONS)
(410) 790-7331
Entity
Organization
Contact information
Practice address
7405 N UNIVERSITY ST, SUITE D, PEORIA, IL 61614-1212
(309) 332-1622
Mailing address
7405 N UNIVERSITY ST, SUITE D, PEORIA, IL 61614-1212
(309) 332-1622
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
HF108540
IL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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